The Noise Exposure Structured Interview (NESI): An Instrument for the Comprehensive Estimation of Lifetime Noise Exposure.
The Noise Exposure Structured Interview (NESI): An Instrument for the Comprehensive Estimation of Lifetime Noise Exposure.
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DOI：
10.1177/2331216518803213
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发表时间：
2018-01
影响因子：
2.7
通讯作者：
Hall DA
中科院分区：
文献类型：
--
作者：
Guest H;Dewey RS;Plack CJ;Couth S;Prendergast G;Bakay W;Hall DA
一生中的噪音暴露通常通过自我报告来量化。回顾性自我报告的准确性受到被访者回忆的限制，但也必然受到报告程序的影响。这些程序是可变的质量，在目前的措施，寿命噪声暴露，和现成的仪器是不容易获得的。噪声暴露结构化访谈（NESI）是一种尝试，旨在汇集现有程序中一些较强的元素，并为它们突出的局限性提供解决方案。报告不限于预先规定的暴露活动，而是包括被调查者经历的所有噪音活动（根据声音强度估计的声级定义）。通过将寿命划分为暴露习惯大致稳定的离散时期来报告暴露习惯随时间的变化，并使用生命里程碑来帮助回忆。暴露持续时间、声级和听力保护的使用分别报告每个生命周期。提供了简单易行的方法来估计自由场声级、个人听音设备发出的声级以及听力保护设备提供的衰减。一个基于能量的手段相结合的结果数据提供，沿着与一个主要的基于能量的方法，将火器噪声暴露。最后，NESI承认一些用户需要定制程序;提供了这种灵活性，并描述了合理的修改。新用户的能力需求通过详细的面试说明（包括故障排除提示）和演示视频得到解决。现有的评价数据有限，并提出了今后的评价工作。
Lifetime noise exposure is generally quantified by self-report. The accuracy of retrospective self-report is limited by respondent recall but is also bound to be influenced by reporting procedures. Such procedures are of variable quality in current measures of lifetime noise exposure, and off-the-shelf instruments are not readily available. The Noise Exposure Structured Interview (NESI) represents an attempt to draw together some of the stronger elements of existing procedures and to provide solutions to their outstanding limitations. Reporting is not restricted to prespecified exposure activities and instead encompasses all activities that the respondent has experienced as noisy (defined based on sound level estimated from vocal effort). Changing exposure habits over time are reported by dividing the lifespan into discrete periods in which exposure habits were approximately stable, with life milestones used to aid recall. Exposure duration, sound level, and use of hearing protection are reported for each life period separately. Simple-to-follow methods are provided for the estimation of free-field sound level, the sound level emitted by personal listening devices, and the attenuation provided by hearing protective equipment. An energy-based means of combining the resulting data is supplied, along with a primarily energy-based method for incorporating firearm-noise exposure. Finally, the NESI acknowledges the need of some users to tailor the procedures; this flexibility is afforded, and reasonable modifications are described. Competency needs of new users are addressed through detailed interview instructions (including troubleshooting tips) and a demonstration video. Limited evaluation data are available, and future efforts at evaluation are proposed.
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